Public Health Data and Science - OregonPublic Health Data and Science Ali Hamade, PhD, DABT Deputy...
Transcript of Public Health Data and Science - OregonPublic Health Data and Science Ali Hamade, PhD, DABT Deputy...
-
Public Health Data and Science
Ali Hamade, PhD, DABTDeputy State Epidemiologist
Office of the State Public Health Director
PUBLIC HEALTH DIVISIONNew Employee Orientation
-
2
Modernization Framework for Data and Programs
-
Key Data Sources
Vital statistics (birth, death)
Reportable conditions (infectious
disease, cancer)
Surveys (BRFSS, OHT,
PRAMS)
Service receipt (immunizations,
hospital discharge, WIC)
-
• Indicators– Social determinants of health
• Race/ethnicity; SES; LGBTQ; urban/rural
• ACEs, poverty, homelessness– Environmental Health
• Air quality, active transportation, BLL– Prevention & Health Promotion
• Disease and condition prevalence; health risk behaviors
– Access to clinical services• Health insurance, screening
– Communicable disease control• Infectious disease reports
Updated State Health Assessment – 2018
-
Chart1
750060002600
Tobacco
Obesity
Alcohol & Substance Use
Tobacco
Diet/Activity Patterns
acohol and substance use
Behaviors that Kill Oregonians 2016
7,500
6,000
Sheet1
TobaccoDiet/Activity Patternsacohol and substance use
750060002600
To resize chart data range, drag lower right corner of range.
Source: 2012 CD Summary
-
0
2,000
4,000
6,000
8,000
10,000
12,000
AfricanAmerican
AmericanIndian/AlaskaNative
AsianAmerican
Hispanic/Latino
Multi-racial
PacificIslander
White
Rat
e pe
r 100
,000
Years of potential life lost (YPLL) before age 75Oregon, 2015–2017
-
Disparities in viral hepatitis, liver cancer, and mortality - OregonCondition Incidence rate:
Whites per 100,000Incidence rate: Blacks per 100,000
Chronic HBV infection, 2009–2013
2.2 39.9
Chronic HCV infection, 2009–2013
57.5 124.4
HBV-associated liver cancer, 2008–2012
0.2 1.5
HCV-associated liver cancer, 2008–2012
3.1 5.1
Mortality from HCV, 2009–2013
8.9 16.1
7
-
Adult cigarettes
8th-grade cigarettes
8th-grade e-cigarettes
0%
5%
10%
15%
20%
25%
Cigarette and e-cigarette use, Oregon, 1996–2017
New BRFSS weighting method began in 2010
-
Low SES
Not Low SES
0%
10%
20%
30%
40%
50%
Cigarette smoking by SES, Oregon, 1996–2014
New BRFSS weighting method began in 2010
-
Trachea, lung, and bronchus cancer mortality in Oregon 2012-2017
10
0
5
10
15
20
25
30
35
2012 2013 2014 2015 2016 2017
rate
per
100
,000
pop
ulat
ion
tobacco-related
not tobacco-related
-
Adult binge drinking, Oregon, 2017
Chart1
Male
Female
18-24
25-44
45-64
65+
Estimates by sex are age-adjustedSource: Oregon Behavioral Risk Factor Surveillance System
22%
14%
28%
23%
14%
6%
0.218
0.143
0.275
0.229
0.143
0.057
Adult binge drinking
Figure 1
YearEst
200114.7%
200216.3%
200315.5%
200413.2%
200513.9%
200614.1%
200715.6%
200812.8%
200915.0%
201017.3%
201117.5%
201216.2%
201317.6%
201417.4%
201517.9%
201618.1%
201718.1%
Estimates are age-adjusted
Figure 2
Male21.80%
Female14.30%
18-2427.50%
25-4422.90%
45-6414.30%
65+5.70%
Figure 3
Less than High School15.80%
College degree or more19.70%
Income
-
Lead hazard vulnerability mapping
• Developed to– focus outreach– education– enforcement efforts.
• Developed using data on – children under 6– pre 1980 housing– % experiencing poverty– foreign born populations
12
-
13
-
Using data to map vulnerabilities
(Enter) DEPARTMENT (ALL CAPS)(Enter) Division or Office (Mixed Case)
14
-
• 2015-2019 SHIP priorities– Tobacco, obesity, alcohol & substance
use– Suicide; – Oral health– Communicable diseases; immunization
• 2020-2024 SHIP priorities– Institutional bias– Adversity, trauma and toxic stress– Economic drivers of health (e.g.,
housing, living wage, food security, transportation)
– Access to equitable preventive health care
– Behavioral health (e.g., mental health, substance use)
Data to Inform State Health Improvement Plan
-
(Enter) DEPARTMENT (ALL CAPS)(Enter) Division or Office (Mixed Case)
17
-
Firearm deaths by intent, 2007 ̶ 2017
18
-
0
5
10
15
20
25
30
35
Rat
e pe
r 1,0
00 fe
mal
es
age
15–1
7 ye
ars
Teen pregnancy (15–17 years), Oregon, 2001–2017
-
Adults
8th-graders
0%
5%
10%
15%
20%
25%
30%
Obesity in adults and 8th gradersOregon, 1991–2017
New BRFSS weighting method began in 2010
-
0
100
200
300
400
500
600
2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Cas
es
Females
Males
Oregon syphilis cases by sex and year, 2008–2017
-
Socioeconomic Status of Oregonians
• High school graduation (2017)– 77% (US 84%, 2016)
• Poverty (2017)– Adults: 13% (US 12%) – Children: 16% (US 18%)
• Food Insecurity (2016)– Overall: 15% (US 12%)– Children: 20% (US 18%)
-
0%
5%
10%
15%
20%
25%
Cancer Accidents HeartDisease
Suicide LiverDisease
Diabetes PerinatalConditions
Deaths
Years of Potential LifeLost
Causes of Death and Premature Death, Oregon, 2017
-
Lead in water in Oregon schools
24
Public Health Data and ScienceSlide Number 2Key Data SourcesSlide Number 4Slide Number 5Slide Number 6Disparities in viral hepatitis, liver cancer, and mortality - OregonSlide Number 8Slide Number 9Trachea, lung, and bronchus cancer mortality in Oregon 2012-2017Slide Number 11Lead hazard vulnerability mapping Slide Number 13Using data to map vulnerabilitiesSlide Number 15Slide Number 16Slide Number 17Firearm deaths by intent, 2007 ̶ 2017Slide Number 19Slide Number 20Slide Number 21Socioeconomic Status of OregoniansSlide Number 23Lead in water in Oregon schools